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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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TYLER, LATONIA       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: LABCORP
11603 CROSSWINDS WAY
SUITE 115
SAN ANTONIO TX 78233

Address last updated on 10/28/2024
Phone #: (210) 585-5093
Fax #:
County: NOT OKLAHOMA
License: 32595
Dated: 12/5/2016
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Anatomic Pathology
Clinical Pathology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduated: 3 / 2001
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LABCORP
11603 CROSSWINDS WAY
SUITE 115
SAN ANTONIO TX 78233

Phone #: (210) 585-5093
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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